Individual provider Active NPI

Stacy Ervin, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1003231689
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011244 Issued in IL
Practice address
401 N Michigan Ave
Chicago, IL 60611-4255
Phone
(866) 825-3227
NPI assigned
Feb 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011244 IL Primary

Addresses

Primary practice location

401 N Michigan Ave
Chicago, IL 60611-4255

Mailing address

161 Washington St FL 14
Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001678 IL Practitioner - Nurse Practitioner 3375775760 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-3034

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Almasri and Associates Inc. CurrentSince Oct 1, 2024 Accepting new patients
Friend Family Health Center Inc CurrentSince Jul 20, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince May 22, 2023 Accepting new patients
Rush University Medical Center CurrentSince Oct 21, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Cook County CurrentSince Jun 17, 2022 Accepting new patients
Friend Family Health Center Inc CurrentSince Jul 20, 2019 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Jun 17, 2022 Accepting new patients
Rush University Medical Group CurrentSince Oct 21, 2025 Accepting new patients

Locations

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

825 S State St
Chicago, IL 60605
Phone (312) 566-9510

29373 Network Pl
Chicago, IL 60673

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1650 W Harrison St
Chicago, IL 60612
Phone (312) 942-0312

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645

4460 N Harlem Ave
Norridge, IL 60706
Phone (708) 402-9140

12632 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 587-0000

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1003231689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST FL 14",
            "address_2": "EIGHT TOWER BRIDGE, SUITE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282083",
            "telephone_number": "866-825-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114255",
            "telephone_number": "866-825-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "STACY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.